Mayeso a A1C (omwe amadziwikanso kuti HbA1C, hemoglobin A1c, hemoglobin yozungulira kapena ma glycosylated hemoglobin) ndibwino kwambiri kuti asamalire shuga. Ngakhale kuti shuga ya m'magazi yodziwika bwino imayambitsa shuga ya munthu pa nthawi yake, ma level A1C amasonyeza mlingo wamagazi wa shuga m'miyezi iwiri kapena itatu yapitayo.
Kodi Zimagwira Ntchito Bwanji?
Mukhoza kupeza mayeso a A1C kudzera mujambula nthawi zonse.
Ofesi zambiri za madotolo zimakhalanso ndi makina oyeza A1C ndipo amatha kulandira zotsatirapo ndi dontho la magazi lomwe limapezeka poponyera chala ndi lancet. Simukusowa kudya kuti mulandire mayeso a A1C omwe amachititsa kuti zikhale zosavuta komanso kuti zichitike.
Hemoglobin A, mapuloteni omwe amapezeka mkati mwa maselo ofiira a magazi, amanyamula mpweya m'thupi lonse. Pamene pali shuga m'magazi, imatha kumangirira (glycate) ku mapuloteni a hemoglobin. Kutsekemera kwambiri m'magazi kumatanthauza kuti shuga kwambiri imamatira ku hemoglobini ndipo mapuloteni ambiri a hemoglobini amadzipitsa.
Kamodzi kagawidwe kakamaphatikiza ku mapuloteni a hemoglobin , nthawi zambiri imakhalabe ndi moyo wa mapuloteni a hemoglobin-masiku 120. Choncho, panthawi iliyonse, shuga yomwe imaphatikizidwa ndi mapuloteni a hemoglobini amasonyeza mlingo wa shuga wa magazi pa miyezi iwiri kapena itatu yapitali.
Kuyeza kwa A1C kuchuluka kwake kwa shuga kumagwiritsidwa ntchito ku hemoglobin A, kapena makamaka, ndi maperesenti a mapuloteni a hemoglobini omwe amatsukidwa.
Choncho, pokhala ndi magawo 7 a A1C amatanthauza kuti 7 peresenti ya mapuloteni a hemoglobini amatsukidwa.
Kumvetsetsa A1C Numeri
Kwa munthu yemwe alibe shuga, gawo la A1C liri pafupifupi 5 peresenti. A1C malire akuwerengedwa ngati 5.7-6.4 peresenti (izi zimaonedwa ngati zowonongeka). Kwa munthu yemwe ali ndi shuga, akatswiri amatsutsana pang'ono pa zomwe zolinga za A1C ziyenera kukhala.
Bungwe la American Diabetes Association (ADA) limalimbikitsa cholinga cha A1C chochepa kapena chofanana ndi 7 peresenti. Bungwe la American Association of Clinical Endocrinologists limalimbikitsa chiwerengero cha 6.5 peresenti kapena pansi.
ADA imatsindikanso kuti zolinga za A1C ziyenera kukhala payekha. Anthu omwe ali ndi matenda a shuga ayenera kukaonana ndi katswiri wa zaumoyo kuti aphunzire zomwe zida zawo za A1C ziyenera kukhala. Mwachitsanzo, kwa anthu omwe adachepetsa moyo wautali, matenda a shuga aatali komanso ovuta kupeza cholinga chochepa, hypoglycemia, kapena matenda aakulu a shuga monga matenda a impso, mitsempha, kapena matenda a mtima, cholinga cha A1C chikhoza kukhala chapamwamba.
Komabe, kwa anthu ambiri, A1C yapamtunda ndi yabwino malinga ngati sakukhala ndi mazira otsika kwambiri. Ndipotu, National Institutes of Health (NIH) imati, kawirikawiri, chiwerengero chilichonse cha chiwerengero cha magazi a A1C (mwachitsanzo, kuyambira 8 peresenti mpaka 7 peresenti) amachepetsa chiopsezo cha diso, impso ndi matenda a mitsempha ndi 40 peresenti .
A1C ku EAG Mawerengedwe Owerengeka a Masikelo a Glucose
Zindikirani kuti A1C siyifanana ndi pafupifupi shuga (eAG), yomwe imakhala miyezi iwiri kapena itatu mu mg / dL, koma A1C imagwirizanitsa ndi EAG.
Pamene mukuyesera shuga lanu tsiku ndi tsiku, nambala zomwe mumaziwona pazowunikira zanu zimayesedwa mu mg / dL. Amawonetsa kamphindi pa nthawi ndipo sizili zofanana ndi EAG yanu.
A1c peresenti ikhoza kumasuliridwa mu shuga pafupifupi magazi ambiri. Mwachitsanzo, magazi ambiri a shuga a 150 mg / dL (milligrams per deciliter) amatanthauza A1C pafupifupi 7 peresenti. Izi sizowoneka bwino, chifukwa chakuti matenda opatsirana ndi shuga amaperekedwa pamene shuga wa magazi imakhala pafupifupi 126 mg / dL.
Chithunzi cha A1c ku EAG
| HbA1c kapena A1c | EAG | |
| % | mg / dl | mmol / l |
| 6 | 126 | 7.0 |
| 6.5 | 140 | 7.8 |
| 7 | 154 | 8.6 |
| 7.5 | 169 | 9.4 |
| 8 | 183 | 10.1 |
| 8.5 | 197 | 10.9 |
| 9 | 212 | 11.8 |
| 9.5 | 226 | 12.6 |
| 10 | 240 | 13.4 |
Njira yogwiritsidwa ntchito ndi: 28.7 X A1C - 46.7 = EAG.
Kodi Kawirikawiri Kuyesedwa kwa A1C Ndi Kofunika Bwanji?
Bungwe la American Diabetes Association limalimbikitsa kuti anthu onse oposa 45 (omwe sali chizindikiro) amawunika matenda a shuga. Izi zikutanthauza kuti amalandira mayeso a A1C kamodzi pakatha zaka zitatu. Ngati kumbali ina, wina ali ndi mbiri yolimba ya matenda a shuga kapena zoopsa zina zomwe zingakonzedwe kuti ziwone msanga. Kuonjezera apo, ngati wina ali ndi zizindikiro komanso ali ndi njala yowonjezereka, njala yochulukirapo, kuwonjezeka kwamtendere kapena kutopa, mayeso a A1C angagwiritsidwe ntchito ngati chida chozindikiritsa.
Anthu omwe ali ndi shuga ayenera kuti A1C yawo iyesedwe miyezi itatu iliyonse; ngati shuga ya magazi imakhala yosasunthika pamayendedwe apamtima, kawiri pachaka kangakhale kokwanira. Achipatala ayenera kuuza odwala zomwe zili zoyenerera kwa iwo ndikuwathandiza kuwunika mosavuta kusamalira matenda awo shuga . Kawirikawiri mayeso a A1C angakonzedwe ngati wina wasintha ndondomeko yake ya mankhwala.
Mayeso a A1C amagwiritsidwa ntchito pozindikira matenda a shuga ndi prediabetes
Mayeso a A1C angagwiritsidwe ntchito poyeza matenda a shuga ndi matenda a shuga. Nthawi zina, mayeso a A1C angagwiritsidwe ntchito ngati mayeso achiwiri kuti atsimikizire ngati munthu ali pachiopsezo kapena ali ndi shuga kapena matenda a shuga. Mwachitsanzo, ngati muli ndi shuga wambiri wotsalira magazi kapena oposa 126 mg / dL ndipo wothandizira zaumoyo wanu amachititsa matenda a shuga, akhoza kuitanitsa mayeso a A1C kuti atsimikizire. Malinga ndi National Institute of Health, pamene mayeso a A1C amagwiritsidwa ntchito poyesa matenda, mchere umayenera kutumizidwa ku labotale yomwe imagwiritsa ntchito njira ya NGSP yoonetsetsa kuti zotsatirazo zikhale zovomerezeka.
Momwe Mwayesera A1C Ndi Wolondola?
Nyuzipepala ya National Institute of Health inati, "Zotsatira za A1C zingakhale zoposa 0,5 peresenti kapena zochepa kusiyana ndi chiwerengero chenichenicho." Izi zikutanthauza kuti A1C imayeza ngati 7.0 peresenti kuti iwonetsere A1C yeniyeni paliponse kuyambira pa 6.5 mpaka 7.5 peresenti. Olemba zaumoyo angathe kupita ku www.ngsp.org kuti adziwe zambiri za kulondola kwa mayeso a A1C ogwiritsidwa ntchito ndi labotale yawo. "
Koma, ndibwino kukumbukira kuti mitundu yonse ya mayesero a magazi amatha kusintha.
Kulephera kwa Chiyeso
Ngakhale kuti A1C ndiyeso yabwino ya kuchepetsa shuga, sizingatheke kudziyesa magazi m'magazi. Mofanana ndi mayesero ena, zotsatira zingasiyane ndi labu ku lab. Kuyezetsa kwa A1C sikulimbane ponseponse paliponse, ngakhale kuyesayesa kwapadziko lonse kuyesetseratu kuyeserera kwa A1C ku bungwe latsopano la International Federation of Clinical Chemistry ndi Laboratory Medicine.
Ndipo pali zochitika zina pamene kuyesa kwa A1C siyeso yabwino yogwiritsira ntchito. Mwachitsanzo, matenda ena angapangitse zotsatira za A1C zabodza kapena zotsatira zachinyengo za A1C.
Zotsatira zabodza za A1C zimachitika kwa anthu omwe ali ndi mavuto ena omwe amakhudza magazi awo kapena hemoglobini. Mwachitsanzo, zotsatira zolakwika za A1C zingachitike kwa anthu omwe ali ndi magazi m'thupi, monga sickle cell anemia kapena thalassemia kapena omwe ali ndi magazi ochuluka. Komabe, zotsatira za A1C zonyenga zingachitike mwa anthu omwe ali ndi chitsulo chochepa, mwachitsanzo, omwe ali ndi vuto la kuchepa kwa magazi m'thupi.
Zina zomwe zimayambitsa zotsatira zachinyengo za A1C zikuphatikizapo
- impso kulephera
- matenda a chiwindi
Ngati mukuganiza kuti ngati A1C ili yoyenera, mungapeze zambiri kuchokera ku National Glycohemoglobin Standardization Programme. Amapereka chidziwitso kwa ogwira ntchito zaumoyo omwe mayesero a A1C ayenera kugwiritsa ntchito mitundu yosiyanasiyana ya hemoglobin pa www.ngsp.org.
Mawu Ochokera
Kuyeza kwa A1C ndiyeso yabwino yomwe imagwiritsidwa ntchito pofuna kudziwa shuga ya magazi ya munthu pa miyezi iwiri kapena itatu. Mayeso a A1C amagwiritsidwa ntchito ngati chida choyang'anira anthu omwe ali ndi matenda a shuga, komanso chida chowunikira ndi chidziwitso chothandizira kudziwa matenda a shuga ndi matenda. Simunavutike kuti mulandire mayeso a A1C ndipo malingana ndi malo anu a dokotala mungathe kupeza A1C yanu ndi zotsatira zenizeni mu ofesi yake. Kuwonjezera pamenepo, zosiyana zina, monga thanzi lanu lonse, msinkhu, ndi shuga la magazi, zidzakuthandizani kulamula mtundu uliwonse wa A1C woyenera komanso momwe muyenera kuyesedwa nthawi zambiri. Nthawi zina mayeso a A1C sangakhale oyenerera shuga wa magazi, makamaka ngati muli ndi mbiri ya matenda a anthia omwe akudwala kapena matenda a impso. Ngati muli ndi mafunso okhudza A1C yanu, funsani gulu lanu la chisamaliro.
Zotsatira:
> Chitukuko cha National Diabetes ndi Matenda a Kumimba ndi Impso. A1c yeseso ndi shuga.
> Chigwirizano cha ku America cha shuga. Mayeso a A1C.
> American Association for Clinical Chemistry .. A1C: Kuyesedwa. .
> Pulogalamu ya National Glycohemoglobin Standardization Programme. IFCC Standardization ya HbA1c. http://www.ngsp.org/